| NPI | 1790050631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LMFT88525) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF57072) |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2022-01-03 |